Influences of decisions to attend a national diabetes prevention programme from people living in a socioeconomically deprived area

Abstract

Aims To explore key influences of decisions in participants from a socioeconomically deprived area to attend the Healthier You: NHS Diabetes Prevention Programme (NHSDPP). The NHSDPP is a lifestyle behaviour change programme for adults with prediabetes living in England. Methods Semi‐structured interviews were conducted with 35 participants who had attended the initial assessment, but not yet started the NHSDPP; 23 were classified as “attenders,” 12 as “non‐attenders” after they were interviewed based on whether they had attended the first NHSDPP session or not. Transcribed interviews were analysed using inductive thematic analysis. Results Seven themes were derived from the data. The results demonstrate how understanding type 2 diabetes, making lifestyle changes, comparing themselves with others, having support and certain self‐perceptions can all affect individuals’ motivation to attend a diabetes prevention programme. Accessibility and practicalities also influenced both motivation and attendance. Conclusions This study identified a range of different influences on decisions to attend a diabetes prevention programme, which programme organisers and healthcare professionals should consider to maximise attendance. Initial communication from general practitioners (GPs) and initial assessments are key points where people's beliefs and understanding could be explored.

The English national health service diabetes prevention programme (NHS DPP): A scoping review of existing evidence

“…Eight articles were identified focusing on stakeholder experience 25,36,44‐49 . Four incorporated qualitative research methods such as semi‐structured interviews 45,46,48,49 or a combination of interviews, focus groups and cross‐sectional survey 49 .…”

“…The authors reflected on how some participants struggled to recall ‘action planning’ or ‘problem solving’ and thus additional support was needed to fully grasp these techniques. Begum et al (2022) investigated influences of decisions to attend the NHS DPP from people living in a socioeconomically deprived area 46 …”

“…Eight articles were identified focusing on stakeholder experience. 25,36,[44][45][46][47][48][49] Four incorporated qualitative research methods such as semi-structured interviews 45,46,48,49 or a combination of interviews, focus groups and cross-sectional survey. 49 One presented a case study, 44 another they termed qualitative insight through anecdotal data and focus groups, 36 a participant survey 47 and the other presented findings on stakeholder experience from a pre-post design.…”

“…Begum et al ( 2022) investigated influences of decisions to attend the NHS DPP from people living in a socioeconomically deprived area. 46 Their findings revealed how motivation to attend the programme was influenced by understanding of type 2 diabetes, previous experience and beliefs. In addition, how accessibility and practicalities influence attendance and motivation to attend.…”

Prevention

“…In this issue, the decision to attend the NHS diabetes prevention programme is explored in depth in area of socio-economic deprivation. 2 The authors conducted semi-structured interviews in attenders and non-attenders of the programme and report the themes that emerged. An understanding of what type 2 diabetes means was an important theme, as was the motivation to make changes.…”